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MODERN PAIN & SPINE PC NPI 1821695081


NPI Information

NPI: 1821695081
Provider Name: MODERN PAIN & SPINE PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1540 JUAN TABO BLVD NE STE A
ALBUQUERQUE, NM
ZIP 87112
Phone: (505) 319-0231
Get Directions

MODERN PAIN & SPINE PC is an interventional pain medicine pain medicine in Albuquerque, NM. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. MODERN PAIN & SPINE PC NPI is 1821695081. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1540 JUAN TABO BLVD NE STE A
ALBUQUERQUE, NM
ZIP 87112-460
Phone: (505) 319-0231

The provider's authorized official is Athanasios Kostandinos Manole .
The authorized official title is Medical Director and has the following contact phone number (505) 800-7246.

The enumeration date for this NPI number is 10/1/2020 and was last updated on 7/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineNo
22083X0100XPreventive MedicineOccupational MedicineNo
32084N0400XPsychiatry & NeurologyNeurologyNo
4208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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